Answer to Question 1
1
Rationale 1:Constricted arteries increase the peripheral resistance, causing higher blood pressure.
Rationale 2:The lower the peripheral resistance, the lower the blood pressure.
Rationale 3:Higher pressure, by way of constricted arteries, causes an increase in the blood pressure and not lower blood pressure.
Rationale 4:There is a relationship to peripheral resistance and blood pressure.
Global Rationale: As blood flows at high speed through the vascular system, it bumps and drags across the walls of the vessels. The dragging or friction in the arteries is called peripheral resistance. Arteries have smooth muscles in their walls and when constricted, will cause the inside diameter or lumen to become smaller, creating more resistance and higher pressure.
Answer to Question 2
2
Rationale 1:Medications, along with a positive lifestyle changes such as a healthy diet and exercise, can reduce the ill effects of uncontrolled HTN.
Rationale 2:Failure to control HTN can lead to narrowing of the arteries, resulting in strokes, kidney failure, and cardiac arrest.
Rationale 3:Implementing positive lifestyle changes may eliminate the need for pharmacotherapy altogether. Positive lifestyle changes include a safe weight-reduction plan, stop using tobacco, restricting salt, limit alcohol consumption, implementing a medically supervised aerobic exercise plan, and reducing stress.
Rationale 4:Changing to a different prescriber is not an effective solution to teach the client.
Global Rationale: The client needs education regarding hypertension. The risks associated with the disease are strokes, kidney failure, and cardiac arrest. A client diagnosed with hypertension requires a comprehensive medical history to determine if the disease can be controlled without medications. Positive lifestyle changes should be recommended for most clients with HTN.